Gainesville Nursing

77 Medical Drive · Gainesville, MO · 65655 · 4176794921

99 certified beds For profit - Corporation Chain: Community Care Centers

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.64 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 55
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 41
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day2.643.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day2.37≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Potential for harm · E March 12, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected March 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 6, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected December 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 14, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 14, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2024

    Respond appropriately to all alleged violations.

    Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 12, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 26, 2024 · Quality of Life and Care

  • Potential for harm · E September 12, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected October 26, 2024 · Nutrition and Dietary

  • Potential for harm · D September 12, 2024

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected October 26, 2024 · Nutrition and Dietary

  • Potential for harm · D November 17, 2022

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 31, 2022 · Resident Rights

  • Potential for harm · D November 17, 2022

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected December 31, 2022 · Resident Rights

  • Potential for harm · D November 17, 2022

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected December 31, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected December 31, 2022 · Quality of Life and Care

  • Potential for harm · E November 17, 2022

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected December 31, 2022 · Quality of Life and Care

  • Potential for harm · D November 17, 2022

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Corrected December 31, 2022 · Nursing and Physician Services

  • Potential for harm · D October 24, 2019

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 7, 2019 · Resident Rights

  • Potential for harm · E October 24, 2019

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 7, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 24, 2019

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected December 7, 2019 · Quality of Life and Care

  • Potential for harm · D October 24, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 7, 2019 · Quality of Life and Care

  • Potential for harm · D October 24, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 7, 2019 · Quality of Life and Care

  • Potential for harm · D October 24, 2019

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected December 7, 2019 · Quality of Life and Care

  • Potential for harm · E October 24, 2019

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected December 7, 2019 · Nutrition and Dietary

  • Potential for harm · E October 24, 2019

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 7, 2019 · Nutrition and Dietary

  • Potential for harm · F October 24, 2019

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 7, 2019 · Nutrition and Dietary

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265312 · certified since July 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.